Page 57 - Master Blueprint 2018 - 2019
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CLINICAL               7        PATIENT PRESENTATIONS RELATED TO THE
          PRESENTATION
                                          GASTROINTESTINAL SYSTEM & NUTRITIONAL HEALTH




             Patient presentations span all relevant age                              The Guide to clinical presentations in this category may
             categories, special populations and varied                               include, but is not limited to, the following ways in which
             clinical settings.                                                       patients present for osteopathic medical care:


             7.1    JAUNDICE                                                          puddle maneuver  • shifting dullness

             7.2    ASCITES
                                                                                      LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
             7.3    ANOREXIA
                                                                                      alkaline phosphatase  • amylase  • bilirubin, total serum and conjugated  •
             7.4    NAUSEA, VOMITING, AND HEMATEMESIS
                                                                                      carcinoembryonic antigen level  • Clostridium difficile testing  • computed
             7.5    DISORDERS OF BOWEL FREQUENCY AND EVACUATION                       tomography imaging  • elevated liver enzymes  • fluoroscopy  • Helicobacter
                                                                                      pylori stool antigen or breath tests  • lipase  • magnetic resonance imaging  •
             7.6    ABDOMINAL PAIN
                                                                                      nuclear imaging  • radiography  • serum ascites-albumin gradient  • sonography
             7.7    ABDOMINAL, GASTROINTESTINAL, AND GI TRACT MASSES,
                 CANCERS AND ORGANOMEGALY                                             • stool culture  • stool for ova and parasites  • tissue transglutaminase
                                                                                      antibodies, antimicrobial antibodies  • viral hepatitis panels
             7.8    MELENA/HEMATOCHEZIA/ANORECTAL RECTAL BLEEDING
                 AND PAIN
             7.9    HEARTBURN AND REFLUX
             7.10 OROPHARYNGEAL AND DENTAL PAIN AND LESIONS

             7.11 ISSUES OF WEIGHT
             7.12 ABDOMINAL TRAUMA
             7.13 DYSPHAGIA AND ODYNOPHAGIA

             7.14 FOREIGN BODY IN GASTROINTESTINAL TRACT
             7.15 ABDOMINAL WALL ABNORMALITIES
             7.16 PHYSICAL EXAM FINDINGS RELATED TO THE
                 GASTROINTESTINAL SYSTEM AND NUTRITIONAL HEALTH

             7.17 LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE GASTROINTESTINAL SYSTEM AND
                 NUTRITIONAL HEALTH




        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 7    PAGE 56
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